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WC

Workers Compensation and Employers Liability

24 forms available for WC

Coverage

1 forms
Form CodeTitleLatest EditionStates
WC 00 00 00Workers Compensation and Employers Liability Insurance Policy (Policy Form)04 16All States

Endorsement

21 forms
Form CodeTitleLatest EditionStates
WC 00 01Federal Coverage Endorsements (Series)N/AAll States
WC 00 01 01Defense Base Act Coverage EndorsementAAll States
WC 00 01 02Federal Coal Mine Health and Safety Act Coverage Endorsement01 15All States
WC 00 01 04Federal Employers' Liability Act Coverage Endorsement04-1984All States
WC 00 01 06Longshore and Harbor Workers' Compensation Act Coverage Endorsement04-92All States
WC 00 01 08Nonappropriated Fund Instrumentalities Act Coverage EndorsementAAll States
WC 00 01 09Outer Continental Shelf Lands Act Coverage Endorsement07 11All States
WC 00 02Maritime Coverage Endorsement11-95All States
WC 00 02 03Voluntary Compensation Maritime Coverage Endorsement04-84All States
WC 00 02 04Limited Maritime Coverage Endorsement06 92All States
WC 00 03Workers Compensation General Endorsements (NCCI Series 03)N/AAll States
WC 00 03 00Alternate Employer Endorsement01 03All States
WC 00 03 02Waiver Of Our Right To Recover From Others Endorsement04 84All States
WC 00 03 08Maritime Coverage Endorsement04 84All States
WC 00 03 10Longshore And Harbor Workers' Compensation Act Coverage Endorsement04 84All States
WC 00 04Pending Rate Change Endorsement04 84All States
WC 00 04 22Terrorism Risk Insurance Program Reauthorization Act Disclosure Endorsement09-08MA, NY, PA, MI, CA, DE, NC
WC 20 01Massachusetts Terrorism Risk Insurance Program Reauthorization Act Endorsement01 08MA
WC 20 01 01Massachusetts - Benefits And Contract Endorsement01 01MA
WC 31 03New York Limit of Liability Endorsement04 84NY
WC 31 03 01New York - Construction Classification Premium Adjustment Program Endorsement01 97NY

Exclusion

1 forms
Form CodeTitleLatest EditionStates
WC 00 03 13Partners, Officers And Others Exclusion Endorsement04 84All States

Other

1 forms
Form CodeTitleLatest EditionStates
WC 00 00 01Workers Compensation and Employers Liability Insurance Policy Information Page01 17All States